| NPI | 1205246311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024517) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP125263) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 765665) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 62687) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61639589) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011776A) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2025-02-18 |